FDA Adverse Event Malfunction Summary report: N

CONMED

MDR report key: 21376779 · Received February 13, 2025

Report

Report Number
21376779
Event Type
Malfunction
Date Received
February 13, 2025
Date of Event
January 21, 2025
Report Date
February 6, 2025
Manufacturer
UNIMAX MEDICAL SYSTEMS INC.
Product Code
GCJ
Product Problem
Yes
Report Source
User Facility report
Reporter Location
UT
Reporter Occupation
003

Narratives

Description of Event or Problem · 0

CONMED MINI ENDO POCKET BROKE AND ARM SNAPPED IN HALF WHILE INSIDE OF PATIENT. PIECES WERE RETRIEVED. MANUFACTURER RESPONSE FOR LAPAROSCOPE, GENERAL PLASTIC SURGERY, CONMED (PER SITE REPORTER). WAITING FOR THEIR RESPONSE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
125416 CONMED LAPAROSCOPE, GENERAL PLASTIC SURGERY GCJ UNIMAX MEDICAL SYSTEMS INC. SB534 6252006036

Patients

Seq Age Sex Outcome Treatment
1 33 YR Female